15D2282861 CLIA NUMBER - HOOK-SUPERX LLC DBA CVS/PHARMACY #05423

Laboratory Demographics

  • CLIA Code: 15D2282861
  • Facility Name: HOOK-SUPERX LLC DBA CVS/PHARMACY #05423
  • Facility Address: 7935 BROOKVILLE RD
    INDIANAPOLIS, IN
    ZIP 46239
  • Facility Phone: 317 353-0783
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISAIAS ADAL
  • NPI Number: 1487757100
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2282861
LAB Type Pharmacy
Facility Name HOOK-SUPERX LLC DBA CVS/PHARMACY #05423
Street 7935 BROOKVILLE RD
City INDIANAPOLIS
State IN
ZIP 46239
Phone 317 353-0783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director ISAIAS ADAL

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This page was last updated on: 9/29/2025